MODERN MEDICAL AND SOCIAL ASPECTS OF POPULATION MORTALITY FROM DIGESTIVE DISEASES

The aim is to assess the current medical and social aspects of mortality due to digestive organs diseases on the example of the Sverdlovsk region. Methods are epidemiological analysis, expert, statistical. Results: mortality rate of the population from the digestive organs diseases in the Sverdlovsk region is characterized by growth dynamics from 71.9 per 100,000 population in 2012 to 83.6 in 2017 and exceeding the average Russian indicators. In the structure of total mortality this cause ranks fourth place (6.0 %) in 2017. The mortality rate from the digestive organs diseases among men is 1.3 times higher than among women, the rural population is 9.1% higher than the urban population. In the age and sex composition of the deceased, the age of 30–69 years (69.2 %) prevails, men accounted for 52.3 %, and among the working age – 72.3 %, in the age of older able – bodied more women – 58.2 %. The structure of death causes is dominated by cirrhosis (33.6 %), alcoholic liver disease (13.8 %), intestinal vascular disease (12.7 %), gastric ulcer and duodenal ulcer (12.2 %), pancreatic disease (9.6 %). At working age, 43.5 % died due to liver cirrhosis, 22.8 % – alcoholic liver disease, 12.8 % – pancreatic disease. Among persons at the age above the working age, the proportion of vascular diseases of the intestine is higher – 21.3 %, gastric ulcer and duodenal ulcer – 15.1 %. According to sociodemographic characteristics, persons with low social status prevailed among those who died of digestive system diseases: primary/secondary vocational education in 47.7 %, 43.5 % without vocational education; 77.5 % did not work at working age. With expert evaluation in 60.3 % of the medical death certificates, design and coding defects were detected.